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General NPI Number Information
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NPI Number | 1336458397
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Entity Type | Individual
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Provider Name | WESTON KEITH JONES D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 1208 HILLTOP DR STE 209
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5860
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Country | US
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Telephone | 307-362-3395
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 HILLTOP DR STE 209
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5860
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Country | US
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Telephone | 307-362-3395
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 25993
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1457
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License Number State | WY
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